摘要
目的:探讨和分析安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用,为临床提供参考。方法:选取2022年1—12月郑州市第三人民医院收治的68例肿瘤患者作为研究对象。对照组(34例)采取传统的照护方法和告知模式,试验组(34例)采取安心卡引导的尊严照护方法和SHARE告知模式,比较两组患者的自尊水平、死亡态度、焦虑情绪、睡眠质量状况。结果:干预后,两组患者的自尊水平测定分数均增高,试验组的自尊水平测定分数显著高于对照组,差异有统计学意义(t=4.218,P<0.05);干预后,试验组的害怕、回避死亡态度得分显著低于对照组,自然接受、接近接受死亡态度得分显著高于对照组,差异有统计学意义(t=10.119、3.222、17.142、6.278,P<0.05);干预后,两组患者的焦虑情绪得分均降低,试验组焦虑情绪得分显著低于对照组,差异有统计学意义(t=18.739,P<0.05);干预后,两组患者的睡眠质量得分均降低,试验组睡眠质量得分显著低于对照组,差异有统计学意义(t=10.746,P<0.05);干预后,两组患者的疼痛程度得分均降低,干预后试验组疼痛程度得分显著低于对照组,差异有统计学意义(t=9.685,P<0.05)。结论:安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中,有利于肿瘤患者疾病治疗和身心健康发展,可供临床参考。
Objective:To explore and analyze the application of dignity care intervention guided by Anxin card combined with SHARE model in hospice care of tumor patients,so as to provide reference for clinic.Methods:68 cancer patients in the hospital from Jan.to Dec.2022 were selected as the research objects.The control group(34 cases)implemented the traditional care method and notification mode,and the experimental group(34 cases)implemented the dignity care method guided by the peace of mind card and the SHARE notification mode.Self-esteem level,death attitude,anxiety and sleep quality of the two groups were compared.Results:After intervention,the scores of self-esteem in both groups were increased,and the scores of self-esteem in the test group were significantly higher than those in the control group,with statistically significant difference(t=4.218,P<0.05).After intervention,the scores of the attitude of fear and avoidance of death in the experimental group were significantly lower than those in the control group,and the scores of attitude of natural acceptance and approaching acceptance of death were significantly higher than those in the control group(t=10.119,3.222,17.142,6.278;P<0.05).After intervention,anxiety scores of both groups were decreased,and anxiety scores of test group were significantly lower than control group(t=18.739,P<0.05).After intervention,the sleep quality scores of both groups were decreased,and the sleep quality scores of test group were significantly lower than those of control group(t=10.746,P<0.05).After intervention,the pain degree score of both groups decreased,and the pain degree score of the experimental group was significantly lower than that of the control group after intervention(t=9.685,P<0.05).Conclusion:The dignity care intervention guided by Anxin Card combined with SHARE model in the hospice care of cancer patients is beneficial to the disease treatment and physical and mental health development of cancer patients,and can be used for clinical reference.
作者
申青
Shen Qing(Zhengzhou Third People’s Hospital,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2024年第13期1633-1636,共4页
Heilongjiang Medical Journal
